Guide on diabetes and COVID-19 for healthcare professionals in Bangladesh

Bhowmik, Bishwajit; Ahmed, Tareen; Afsana, Faria; Qureshi, Nazmul Kabir; Siddiquee, Tasnima; Pathan, Faruque; Amin, Firoz; Moreira, Nayla Cristina do Vale; Samad, M. A.; Ashrafuzzaman, SM; Ahmed, Tofail; Latif, Zafar Ahmed; Bhuiyan, A. M.; Alim, Abdul; Munir, Sanjida Binte; Karmokar, Rajat Kanti; Choudhury, Kaiser Alam; Zabeen, Bedowra; Islam, Khaleda; Rahman, Mohammad Mahbubur; Rahman, M. H.; Milon, Sarowar Uddin; Ozaki, Rie; Alam, Md. Abdur Razzaqul; Huda, Tabassum; Rahman, Md. Habibur; Hossain, Ahm Enayet; Mahtab, Hajera; Hussain, Akhtar; Khan, Abid Hossain

doi:10.4103/jod.jod_51_20

Cited by 6 publications

(4 citation statements)

References 11 publications

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“…The United Kingdom wisely developed a consensus document for treating PwD with COVID-19 and another for outpatients' appointment prioritization [49]. A guide for HCPs was also published in Bangladesh [70]. Online support groups were reported in Scotland and Brazil [57].…”

Section: Development and Adaptation Of Resources And Channelsmentioning

confidence: 99%

“…Concerned with this risk, Diabetes UK produced and shared a front door guidance on COVID:diabetes for hospitals [49]. SBD, in Brazil, also produced a guide (www.diabetes.org.br/publico/images/Emkt_SBD_Diabetes_na_Era_COVID-19_Horizontal.pdf), and Bangladeshi organizations, in partnership with IDF, produced an extensive and detailed resource [70].…”

Section: Health Systems Preparednessmentioning

confidence: 99%

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COVID-19 associated with diabetes and other noncommunicable diseases led to a global health crisis

Barone

Ngongo

Harnik

et al. 2021

Diabetes Research and Clinical Practice

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COVID-19 has gravely threatened high-risk populations, such as people with diabetes and other noncommunicable diseases, leading to disproportionate hospitalizations, longer and repeated hospital stays and deaths among these individuals worldwide. It is well documented from previous outbreaks that diabetes increases the risk for poor outcomes due to SARS infection. In the present review, we bring evidence that country and global level health crisis caused by COVID-19 could have been avoided or highly minimized if measures to protect high-risk populations were implemented timely. In addition to general lockdowns, testing, tracing, isolation and hygiene measures, other specific interventions for diabetes and comorbidities management were key to allow the continuation of care services during the pandemic. These interventions included: teleconsultation, digital remote education/monitoring, e-prescription/medicine delivery options, mobile clinics, home HbA1c and albumin-creatinine tests. In this article, we recommend prompt actions to protect the most vulnerable groups, valuing knowledge and experiences from previous outbreaks and lessons learned during the COVID-19 pandemic, in order to shield communities, health systems and the global economy.

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Section: Development and Adaptation Of Resources And Channelsmentioning

confidence: 99%

Section: Health Systems Preparednessmentioning

confidence: 99%

COVID-19 associated with diabetes and other noncommunicable diseases led to a global health crisis

Barone

Ngongo

Harnik

et al. 2021

Diabetes Research and Clinical Practice

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“…In our study, being non-diabetic was significantly associated with longer patient, diagnostic, and total delays. In Bangladesh, a majority (over 50%) of diabetic patients are registered with the Bangladesh Diabetic Somity (BADAS) and predominantly seek care (95.2%) from BAD-AS's private facilities, while only a small fraction (4.3%) turn to informal providers [65]. This organized care-seeking pattern among diabetic patients likely contributes to their shorter delays compared to non-diabetic individuals.…”

Section: Plos Global Public Healthmentioning

confidence: 99%

Healthcare seeking behavior and delays in case of Drug-Resistant Tuberculosis patients in Bangladesh: Findings from a cross-sectional survey

Noman,

Islam,

Aktar

et al. 2024

PLOS Glob Public Health

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The emergence of Drug-Resistant Tuberculosis (DR-TB) has become a major threat globally and Bangladesh is no exception. Delays in healthcare seeking, proper diagnosis and initiation of treatment cause continuous transmission of the resistant tubercule bacilli through the communities. This study aimed to assess the different health care-seeking behaviors and delays among DR-TB patients in Bangladesh. A prospective cross-sectional study was conducted from November to December 2018, among 92 culture positive and registered DR-TB patients in four selected hospitals in Bangladesh. Data were collected through face-to-face interviews with survey questionnaire as well as record reviews. Among the 92 study participants, the median patient delay was 7 (IQR 3, 15) days, the median diagnostic delay was 88 (IQR 36.5, 210), the median treatment delay was 7 (IQR 4,12) days, and the median total delay among DR-TB patients was 108.5 (IQR 57.5, 238) days. 81.32% sought initial care from informal healthcare providers. The majority (68.48%) of the informal healthcare providers were drug sellers while 60.87% of patients sought care from more than four healthcare points before being diagnosed with DR-TB. The initial care seeking from multiple providers was associated with diagnostic and total delays. In Bangladesh, DR-TB cases usually seek care from multiple providers, particularly from informal providers, and among them, alarmingly higher healthcare-seeking related delays were noted. Immediate measures should be taken both at the health system levels and, in the community, to curb transmission and reduce the burden of the disease.

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“…Across Bangladesh, approximately eight million diabetic patients visited diabetic centers to receive routine care with regular follow-up before the first confirmed case of COVID-19 [21]. After the government implemented initial lockdown measures in March 2020 until May 2020, all health service centers became stagnant with many health service providers becoming infected with COVID-19 [22,23]. Lockdown measures also reduced the means of physical exercise as people were limited to the confines of their homes in addition to reduced access to healthcare services [9].…”

mentioning

confidence: 99%

COVID-19 and Health System Response for Management of Diabetes in Bangladesh: A national qualitative study of patients with diabetes and key healthcare professionals/policy makers

Talukder

Islam

Salahin

et al. 2022

Preprint

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Background: Uncontrolled diabetes can lead to exacerbation of symptoms and life-threatening complications. Consequently, there is a need to explore patient experience regarding the prevention and treatment of diabetic patients amidst the restrictions and lockdown measures in response to COVID-19. The objective of this study was to assess the response of the healthcare system for preventive care and treatment of people with diabetes in Bangladesh during COVID-19, and to analyze the health-seeking behavior of diabetes patients amidst social distancing and lockdown measures Method: A descriptive qualitative design was used to collect data regarding the ability of people living with diabetes to access medication, laboratory services, and preventative care during the pandemic. The data collection process involved 12 focus group discussions (FGDs) with people living with diabetes, and 30 key informant interviews (KIIs) with senior diabetologist, health service managers, leaders of different diabetes-related associations, and policymakers from the local to the national level. The discussion issues were structured around the WHO framework that describes health systems in terms of six building blocks. In addition, different treatment guidelines, scientific articles, relevant reports, and 20 well-circulated newspapers were analyzed concerning the treatment of diabetic patients. Results: 44% of the respondents were aged 55-60 years, with an informed noticeable disruption of essential diabetes care services, intensified by high COVID-19 infection rates. Besides, 78% of the service receiver participants reported not seeing any government-issued public announcements regarding diabetes management on television or newspapers. There are also concerns with the current heath sector. Conclusions: The study findings highlighted major concerns surrounding the healthcare response to deliver care for patients with diabetes during the pandemic, driven mainly by restricted access to treatment under lockdown measures coupled with a reluctance from health care providers to see patients due to high COVID-19 infection rates arising from concerns with a lack of personal protective equipment. Necessary measures can gradually bring some change in the healthcare system promote healthy lifestyles and adherence to prescribed medicines together with raising awareness about the potential risk factors of diabetes.

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Guide on diabetes and COVID-19 for healthcare professionals in Bangladesh

Cited by 6 publications

References 11 publications

COVID-19 associated with diabetes and other noncommunicable diseases led to a global health crisis

COVID-19 associated with diabetes and other noncommunicable diseases led to a global health crisis

Healthcare seeking behavior and delays in case of Drug-Resistant Tuberculosis patients in Bangladesh: Findings from a cross-sectional survey

COVID-19 and Health System Response for Management of Diabetes in Bangladesh: A national qualitative study of patients with diabetes and key healthcare professionals/policy makers

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